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Recent proposals of deep learning-based beamformers for ultrasound imaging (US) have attracted significant attention as computational efficient alternatives to adaptive and compressive beamformers. Moreover, deep beamformers are versatile in that image post-processing algorithms can be readily combined. Unfortunately, with the existing technology, a large number of beamformers need to be trained and stored for different probes, organs, depth ranges, operating frequency, and desired target 'styles', demanding significant resources such as training data, etc. To address this problem, here we propose a switchable and tunable deep beamformer that can switch between various types of outputs such as DAS, MVBF, DMAS, GCF, etc., and also adjust noise removal levels at the inference phase, by using a simple switch or tunable nozzle. This novel mechanism is implemented through Adaptive Instance Normalization (AdaIN) layers, so that distinct outputs can be generated using a single generator by merely changing the AdaIN codes. Experimental results using B-mode focused ultrasound confirm the flexibility and efficacy of the proposed method for various applications.

Metal artifact reduction (MAR) is one of the most important research topics in computed tomography (CT). With the advance of deep learning approaches for image reconstruction, various deep learning methods have been suggested for metal artifact reduction, among which supervised learning methods are most popular. However, matched metal-artifact-free and metal artifact corrupted image pairs are difficult to obtain in real CT acquisition. Recently, a promising unsupervised learning for MAR was proposed using feature disentanglement, but the resulting network architecture is so complicated that it is difficult to handle large size clinical images. To address this, here we propose a simple and effective unsupervised learning method for MAR. The proposed method is based on a novel β -cycleGAN architecture derived from the optimal transport theory for appropriate feature space disentanglement. Moreover, by adding the convolutional block attention module (CBAM) layers in the generator, we show that the metal artifacts can be more focused so that it can be effectively removed. Experimental results confirm that we can achieve improved metal artifact reduction that preserves the detailed texture of the original image.

Optical diffraction tomography measures the three-dimensional refractive index map of a specimen and visualizes biochemical phenomena at the nanoscale in a non-destructive manner. One major drawback of optical diffraction tomography is poor axial resolution due to limited access to the three-dimensional optical transfer function. This missing cone problem has been addressed through regularization algorithms that use a priori information, such as non-negativity and sample smoothness. However, the iterative nature of these algorithms and their parameter dependency make real-time visualization impossible. In this article, we propose and experimentally demonstrate a deep neural network, which we term DeepRegularizer, that rapidly improves the resolution of a three-dimensional refractive index map. Trained with pairs of datasets (a raw refractive index tomogram and a resolution-enhanced refractive index tomogram via the iterative total variation algorithm), the three-dimensional U-net-based convolutional neural network learns a transformation between the two tomogram domains. The feasibility and generalizability of our network are demonstrated using bacterial cells and a human leukaemic cell line, and by validating the model across different samples. DeepRegularizer offers more than an order of magnitude faster regularization performance compared to the conventional iterative method. We envision that the proposed data-driven approach can bypass the high time complexity of various image reconstructions in other imaging modalities.

Time-resolved MR angiography (tMRA) has been widely used for dynamic contrast enhanced MRI (DCE-MRI) due to its highly accelerated acquisition. In tMRA, the periphery of the ${\textit k}$ -space data are sparsely sampled so that neighbouring frames can be merged to construct one temporal frame. However, this view-sharing scheme fundamentally limits the temporal resolution, and it is not possible to change the view-sharing number to achieve different spatio-temporal resolution trade-offs. Although many deep learning approaches have been recently proposed for MR reconstruction from sparse samples, the existing approaches usually require matched fully sampled ${\textit k}$ -space reference data for supervised training, which is not suitable for tMRA due to the lack of high spatio-temporal resolution ground-truth images. To address this problem, here we propose a novel unpaired training scheme for deep learning using optimal transport driven cycle-consistent generative adversarial network (cycleGAN). In contrast to the conventional cycleGAN with two pairs of generator and discriminator, the new architecture requires just a single pair of generator and discriminator, which makes the training much simpler but still improves the performance. Reconstruction results using in vivo tMRA and simulation data set confirm that the proposed method can immediately generate high quality reconstruction results at various choices of view-sharing numbers, allowing us to exploit better trade-off between spatial and temporal resolution in time-resolved MR angiography.

Conebeam CT using a circular trajectory is quite often used for various applications due to its relative simple geometry. For conebeam geometry, Feldkamp, Davis and Kress algorithm is regarded as the standard reconstruction method, but this algorithm suffers from so-called conebeam artifacts as the cone angle increases. Various model-based iterative reconstruction methods have been developed to reduce the cone-beam artifacts, but these algorithms usually require multiple applications of computational expensive forward and backprojections. In this paper, we develop a novel deep learning approach for accurate conebeam artifact removal. In particular, our deep network, designed on the differentiated backprojection domain, performs a data-driven inversion of an ill-posed deconvolution problem associated with the Hilbert transform. The reconstruction results along the coronal and sagittal directions are then combined using a spectral blending technique to minimize the spectral leakage. Experimental results show that our method outperforms the existing iterative methods despite significantly reduced runtime complexity., Comment: This paper is accepted for IEEE Trans. Medical Imaging

Under the global pandemic of COVID-19, the use of artificial intelligence to analyze chest X-ray (CXR) image for COVID-19 diagnosis and patient triage is becoming important. Unfortunately, due to the emergent nature of the COVID-19 pandemic, a systematic collection of the CXR data set for deep neural network training is difficult. To address this problem, here we propose a patch-based convolutional neural network approach with a relatively small number of trainable parameters for COVID-19 diagnosis. The proposed method is inspired by our statistical analysis of the potential imaging biomarkers of the CXR radiographs. Experimental results show that our method achieves state-of-the-art performance and provides clinically interpretable saliency maps, which are useful for COVID-19 diagnosis and patient triage., Accepted for IEEE Trans. on Medical Imaging Special Issue on Imaging-based Diagnosis of COVID-19

Recently, deep learning approaches for MR motion artifact correction have been extensively studied. Although these approaches have shown high performance and lower computational complexity compared to classical methods, most of them require supervised training using paired artifact-free and artifact-corrupted images, which may prohibit its use in many important clinical applications. For example, transient severe motion (TSM) due to acute transient dyspnea in Gd-EOB-DTPA-enhanced MR is difficult to control and model for paired data generation. To address this issue, here we propose a novel unpaired deep learning scheme that does not require matched motion-free and motion artifact images. Specifically, the first step of our method is ${k}$ -space random subsampling along the phase encoding direction that can remove some outliers probabilistically. In the second step, the neural network reconstructs fully sampled resolution image from a downsampled ${k}$ -space data, and motion artifacts can be reduced in this step. Last, the aggregation step through averaging can further improve the results from the reconstruction network. We verify that our method can be applied for artifact correction from simulated motion as well as real motion from TSM successfully from both single and multi-coil data with and without ${k}$ -space raw data, outperforming existing state-of-the-art deep learning methods.

In portable, three dimensional, and ultra-fast ultrasound imaging systems, there is an increasing demand for the reconstruction of high quality images from a limited number of radio-frequency (RF) measurements due to receiver (Rx) or transmit (Xmit) event sub-sampling. However, due to the presence of side lobe artifacts from RF sub-sampling, the standard beamformer often produces blurry images with less contrast, which are unsuitable for diagnostic purposes. Existing compressed sensing approaches often require either hardware changes or computationally expensive algorithms, but their quality improvements are limited. To address this problem, here we propose a novel deep learning approach that directly interpolates the missing RF data by utilizing redundancy in the Rx-Xmit plane. Our extensive experimental results using sub-sampled RF data from a multi-line acquisition B-mode system confirm that the proposed method can effectively reduce the data rate without sacrificing image quality., The title has been changed. This version will appear in IEEE Trans. on Medical Imaging

The widespread application of artificial intelligence in health research is currently hampered by limitations in data availability. Distributed learning methods such as federated learning (FL) and shared learning (SL) are introduced to solve this problem as well as data management and ownership issues with their different strengths and weaknesses. The recent proposal of federated split task-agnostic (FeSTA) learning tries to reconcile the distinct merits of FL and SL by enabling the multi-task collaboration between participants through Vision Transformer (ViT) architecture, but they suffer from higher communication overhead. To address this, here we present a multi-task distributed learning using ViT with random patch permutation. Instead of using a CNN based head as in FeSTA, p-FeSTA adopts a randomly permuting simple patch embedder, improving the multi-task learning performance without sacrificing privacy. Experimental results confirm that the proposed method significantly enhances the benefit of multi-task collaboration, communication efficiency, and privacy preservation, shedding light on practical multi-task distributed learning in the field of medical imaging., 10 pages

X-ray computed tomography (CT) using sparse projection views is a recent approach to reduce the radiation dose. However, due to the insufficient projection views, an analytic reconstruction approach using the filtered back projection (FBP) produces severe streaking artifacts. Recently, deep learning approaches using large receptive field neural networks such as U-Net have demonstrated impressive performance for sparse- view CT reconstruction. However, theoretical justification is still lacking. Inspired by the recent theory of deep convolutional framelets, the main goal of this paper is, therefore, to reveal the limitation of U-Net and propose new multi-resolution deep learning schemes. In particular, we show that the alternative U- Net variants such as dual frame and the tight frame U-Nets satisfy the so-called frame condition which make them better for effective recovery of high frequency edges in sparse view- CT. Using extensive experiments with real patient data set, we demonstrate that the new network architectures provide better reconstruction performance., This will appear in IEEE Transaction on Medical Imaging, a special issue of Machine Learning for Image Reconstruction

Diffuse optical tomography (DOT) has been investigated as an alternative imaging modality for breast cancer detection thanks to its excellent contrast to hemoglobin oxidization level. However, due to the complicated non-linear photon scattering physics and ill-posedness, the conventional reconstruction algorithms are sensitive to imaging parameters such as boundary conditions. To address this, here we propose a novel deep learning approach that learns non-linear photon scattering physics and obtains an accurate three dimensional (3D) distribution of optical anomalies. In contrast to the traditional black-box deep learning approaches, our deep network is designed to invert the Lippman-Schwinger integral equation using the recent mathematical theory of deep convolutional framelets. As an example of clinical relevance, we applied the method to our prototype DOT system. We show that our deep neural network, trained with only simulation data, can accurately recover the location of anomalies within biomimetic phantoms and live animals without the use of an exogenous contrast agent., Accepted for IEEE Trans. on Medical Imaging

Model-based iterative reconstruction algorithms for low-dose X-ray computed tomography (CT) are computationally expensive. To address this problem, we recently proposed a deep convolutional neural network (CNN) for low-dose X-ray CT and won the second place in 2016 AAPM Low-Dose CT Grand Challenge. However, some of the textures were not fully recovered. To address this problem, here we propose a novel framelet-based denoising algorithm using wavelet residual network which synergistically combines the expressive power of deep learning and the performance guarantee from the framelet-based denoising algorithms. The new algorithms were inspired by the recent interpretation of the deep CNN as a cascaded convolution framelet signal representation. Extensive experimental results confirm that the proposed networks have significantly improved performance and preserve the detail texture of the original images.

Diffuse optical tomography (DOT) is a non-invasive imaging technique to reconstruct optical properties of biological tissues using near-infrared light, and it has been successfully used to measure functional brain activities via changes in cerebral blood volume and cerebral blood oxygenation. However, DOT presents a severely ill-posed inverse problem, so various types of regularization should be incorporated to overcome low spatial resolution and lack of depth sensitivity. Another limitation of the conventional DOT reconstruction methods is that an inference step is separately performed after the reconstruction, so complicated interaction between reconstruction and regularization is difficult to analyze. To overcome these technical difficulties, we propose a unified sparse recovery framework using a random effect model whose termination criterion is determined by the statistical inference. Both numerical and experimental results confirm that the proposed method outperforms the conventional approaches.

Diffuse optical tomography (DOT) is a sensitive and relatively low cost imaging modality that reconstructs optical properties of a highly scattering medium. However, due to the diffusive nature of light propagation, the problem is severely ill-conditioned and highly nonlinear. Even though nonlinear iterative methods have been commonly used, they are computationally expensive especially for three dimensional imaging geometry. Recently, compressed sensing theory has provided a systematic understanding of high resolution reconstruction of sparse objects in many imaging problems; hence, the goal of this paper is to extend the theory to the diffuse optical tomography problem. The main contributions of this paper are to formulate the imaging problem as a joint sparse recovery problem in a compressive sensing framework and to propose a novel noniterative and exact inversion algorithm that achieves the l(0) optimality as the rank of measurement increases to the unknown sparsity level. The algorithm is based on the recently discovered generalized MUSIC criterion, which exploits the advantages of both compressive sensing and array signal processing. A theoretical criterion for optimizing the imaging geometry is provided, and simulation results confirm that the new algorithm outperforms the existing algorithms and reliably reconstructs the optical inhomogeneities when we assume that the optical background is known to a reasonable accuracy.

Spectral computed tomography (CT) is a promising technique with the potential for improving lesion detection, tissue characterization, and material decomposition. In this paper, we are interested in kVp switching-based spectral CT that alternates distinct kVp X-ray transmissions during gantry rotation. This system can acquire multiple X-ray energy transmissions without additional radiation dose. However, only sparse views are generated for each spectral measurement; and the spectra themselves are limited in number. To address these limitations, we propose a penalized maximum likelihood method using spectral patch-based low-rank penalty, which exploits the self-similarity of patches that are collected at the same position in spectral images. The main advantage is that the relatively small number of materials within each patch allows us to employ the low-rank penalty that is less sensitive to intensity changes while preserving edge directions. In our optimization formulation, the cost function consists of the Poisson log-likelihood for X-ray transmission and the nonconvex patch-based low-rank penalty. Since the original cost function is difficult to minimize directly, we propose an optimization method using separable quadratic surrogate and concave convex procedure algorithms for the log-likelihood and penalty terms, which results in an alternating minimization that provides a computational advantage because each subproblem can be solved independently. We performed computer simulations and a real experiment using a kVp switching-based spectral CT with sparse-view measurements, and compared the proposed method with conventional algorithms. We confirmed that the proposed method improves spectral images both qualitatively and quantitatively. Furthermore, our GPU implementation significantly reduces the computational cost.

One of the technical challenges in cine magnetic resonance imaging (MRI) is to reduce the acquisition time to enable the high spatio-temporal resolution imaging of a cardiac volume within a short scan time. Recently, compressed sensing approaches have been investigated extensively for highly accelerated cine MRI by exploiting transform domain sparsity using linear transforms such as wavelets, and Fourier. However, in cardiac cine imaging, the cardiac volume changes significantly between frames, and there often exist abrupt pixel value changes along time. In order to effectively sparsify such temporal variations, it is necessary to exploit temporal redundancy along motion trajectories. This paper introduces a novel patch-based reconstruction method to exploit geometric similarities in the spatio-temporal domain. In particular, we use a low rank constraint for similar patches along motion, based on the observation that rank structures are relatively less sensitive to global intensity changes, but make it easier to capture moving edges. A Nash equilibrium formulation with relaxation is employed to guarantee convergence. Experimental results show that the proposed algorithm clearly reconstructs important anatomical structures in cardiac cine image and provides improved image quality compared to existing state-of-the-art methods such as k-t FOCUSS, k-t SLR, and MASTeR.

We propose a novel statistical analysis method for functional magnetic resonance imaging (fMRI) to overcome the drawbacks of conventional data-driven methods such as the independent component analysis (ICA). Although ICA has been broadly applied to fMRI due to its capacity to separate spatially or temporally independent components, the assumption of independence has been challenged by recent studies showing that ICA does not guarantee independence of simultaneously occurring distinct activity patterns in the brain. Instead, sparsity of the signal has been shown to be more promising. This coincides with biological findings such as sparse coding in V1 simple cells, electrophysiological experiment results in the human medial temporal lobe, etc. The main contribution of this paper is, therefore, a new data driven fMRI analysis that is derived solely based upon the sparsity of the signals. A compressed sensing based data-driven sparse generalized linear model is proposed that enables estimation of spatially adaptive design matrix as well as sparse signal components that represent synchronous, functionally organized and integrated neural hemodynamics. Furthermore, a minimum description length (MDL)-based model order selection rule is shown to be essential in selecting unknown sparsity level for sparse dictionary learning. Using simulation and real fMRI experiments, we show that the proposed method can adapt individual variation better compared to the conventional ICA methods.